Saint Mary’s University

School of Health and Natural Sciences

Drug Study

Drug Action Indication Contraindications Adverse/Side Effects Nursing Responsibilities

Generic Name: Inhibits the Edema due to heart Hypersensitivity: CNS: Blurred vision,  Instruct patient to take furosemide as
Furosemide reabsorption of sodium failure, hepatic cross-sensitivity dizziness, headache, directed. Do not double doses.
and chloride from the impairment or renal with thiazides vertigo.  Caution patient to change positions
Therapeutic Class: loop of Henle and distal disease. and sulfonamides EENT: Hearing loss, slowly to minimize orthostatic
renal tubule. Increases Hypertension. may occur; tinnitus. hypotension.
Diuretics/Anti-
renal excretion of Hepatic coma or CV: Hypotension.  Advise patient to contact health care
Hypertensive
water, sodium, chloride, anuria; Some GI: Anorexia, constipation, professional regarding a diet high in
magnesium, potassium liquid products diarrhea, dry mouth, potassium.
Pharmacologic and calcium. may contain dyspepsia, increase liver  Advise patient to contact health care
Class: Effectiveness persists in alcohol, avoid in enzymes, nausea, professional of weight gain more than 3
Loop Diuretics impaired renal function. patients with pancreatitis, vomiting. lbs in 1 day
alcohol GU: Increase BUN,  Caution patient to use sunscreen and
Drug Dosage: intolerance. excessive urination, protective clothing to prevent
20mg (IV) nephrocalcinosis. photosensitivity reactions.
Derm: Erythema  Advise patient to contact health care
Doctors Order: multiforme, stevens- professional immediately if rash, muscle
Johnson syndrome, Toxic weakness, cramps, nausea, dizziness,
SD 2nd RBC
Epidermal Necrolysis, numbness, or tingling of extremities
Photosensitivity, Pruritis, occurs.
Doctors Order Rash, Urticaria.  Emphasize the importance of routine
Date: Endo: follow-up examinations.
January 25, 2020 Hypercholesterolemia,
Hyperglycemia,
Hypotriglyceridemia,
 Saint Mary’s University
School of Health and Natural Sciences

hyperuricemia.
F and E: Dehydration,
hypocalcemia,
hypochloremia,
hypokalemia,
hypomagnesemia,
hyponatremia,
hypovolemia, metabolic
alkalosis.
Hemat: Aplastic Anemia,
Agranulocytosis, hemolytic
anemia, leukopenia,
thrombocytopenia.
MS: Muscle cramps.
Neuro: Paresthesia.

Side effect:
Fever
 Saint Mary’s University
School of Health and Natural Sciences

Drug Action Indication Contraindications Adverse/Side Effects Nursing Responsibilities

Generic Name: It facilitates Oxygen Treatment and Anemia not due to CNS: Dizziness, headache,  Explain purpose of iron
Ferrous Sulfate transport via Hemoglobin. prevention iron iron deficiency; syncope therapy to patient.
It enters the bloodstream deficiency anemia hypersensitivity to GI: Nausea, constipation,  Encourage patient to comply
Therapeutic Class: and is transported to the iron dark stools, epigastric with medication regimen.
Iron Supplements organs of the pain, GI bleeding,  Advise patient that stools may
reticuloendothelial system Vomiting. Faecal become dark green or black
(liver, spleen, bone impaction,  Teach the patient about
Pharmacologic Class: marrow) where it becomes measures to reduce
Hematinics part of iron stores Side Effects: constipation.
Constipation, dark stools
Drug Dosage:
100mg BID

Doctors Order Date:

January 25, 202
 Saint Mary’s University
School of Health and Natural Sciences

Drug Action Indication Contraindications Adverse/Side Effects Nursing Responsibilities

Generic Name: Necessary for collagen Treatment and Contrainidicated to CNS: Drowsiness, fatigue,  Advise patient to take
Ascorbic Acid formation and tissue prevention of those patients who fatigue, headache, insomnia. medication as directed and
repair. Involved in vitamin C deficiency have shown GI: cramps, diarrhea, heartburn, not to exceed dose
Therapeutic Class: oxidation reduction (scurvy) with dietary hypersensitivity to nausea, vomiting. prescribed.
Vitamins reactions; tyrosine, folic supplementation. any component of GU: kidney stones  Encourage patient to eat
acid, iron and Supplemental this preparation. Derm: flushing foods that are high in ascorbic
carbohydrate therapy in some GI Hemat: deep vein thrombosis, acid include citrus fruits,
Pharmacologic Class: metabolism; lipid and diseases during long hemolysis (in G6PD deficiency), tomatoes, strawberries,
Water soluble protein synthesis; term parenteral sickle cell crisis. cantaloupe, and raw peppers.
vitamins cellular respiration; and nutrition or chronic
resistance to infection. hemodialysis.
Drug Dosage:
500mg BID

Doctors Order Date:

January 25, 2020
 Saint Mary’s University
School of Health and Natural Sciences

Drug Action Indication Contraindications Adverse/Side Effects Nursing Responsibilities

Generic Name: Essential for nervous, Treatment and prevention of Contraindicated with CNS: Headache,  Encourage patients to
Calcium Gluconate muscular and skeletal hypocalcemia. Hypercalcemia; Renal tingling maintain a diet
systems. Maintain cell Emergency treatment of calculi; ventricular CV: syncope, cardiac adequate in vitamin
Therapeutic Class: membrane and capillary hyperkalemia and fibrillation. arrest, arrhythmias, D.
Mineral and electrolyte permeability. Act as an hypermagnesemia and Patients receiving digital bradycardia.  Do not administer
activator in the adjunct in cardiac arrest or glycosides; Severe GI: constipation, concurrently with
replacements/
transmission of nerve calcium channel blocking respiratory insufficiency; nausea, vomiting foods containing large
supplements impulses and agent toxicity. Renal disease; Cardiac GU: calculi, amounts of oxalic
contraction of cardiac, disease. hypercalciuria acid, phytic acid, or
Drug Dosage: skeletal, and smooth phosphorus.
1ap IV muscle. Essential for  Advise patient to
bone formation and avoid excessive use of
Doctors order: blood coagulation. tobacco or beverages
1ap IV containing alcohol or
caffeine
Doctors Order Date:
January 25, 2020
 Saint Mary’s University
School of Health and Natural Sciences

Drug Action Indication Contraindications Adverse/Side Effects Nursing Responsibilities

Generic Name: Decreases the buildup of a Antidote for the Hypersensitivity. CNS: Drowsiness  Explain purpose of
Acetylcysteine hepatotoxic metabolite in management of Use cautiously in: severe CV: Vasodilation, medication to
acetaminophen overdose. potentially hepatotoxic respiratory insufficiency, tachycardia, hypotension patient.
Therapeutic Class: overdose of asthma or history of EENT: Rhinorrhea  Inform patient
Prevention or lessening of acetaminophen. bronchospasm; History Resp: bronchospasm, that unpleasant
Antidotes (for
liver damage following of GI bleeding (oral only) bronchial/tracheal irritation, odor of this drug
acetaminophen
acetaminophen overdose. chest tightness, increase becomes less
toxicity), mucolytic secretions noticeable as
GI: Nausea, vomiting, treatment
Drug Dosage: stomatitis progresses and
1 tab OD Derm: Rash, clamminess, medicine
pruritus, urticaria dissipates.
Doctors Order:  Instruct patient to
1 tab and ½ glass of clear airway by
water coughing deeply
before taking
Doctors Order Date: aerosol treatment
January 25, 2020
 Saint Mary’s University
School of Health and Natural Sciences

Drug Action Indication Contraindications Adverse/Side Effects Nursing Responsibilities

Generic Name: Blocks the Alone or with other agents Contraindicated CNS: Dizziness, fatigue,  Emphasize the importance of
Losartan vasoconstrictor and in the management of in headache, insomnia, continuing to take as
aldosterone-secreting hypertension. Treatment of Hypersensitivity; weakness directed, even if feeling well.
Therapeutic Class: effects of angiotensin II at diabetic nephropathy in Bilateral renal CV: Chest pain, edema,  Caution patient to avoid salt
various receptor sites, patients with type 2 artery stenosis. hypotension substitutes containing
Antihypertensives
including vascular smooth diabetes. Prevention of EENT: Nasal congestion potassium or foods containing
muscle and the adrenal stroke in patients with Endo: Hypoglycemia, weight high levels of potassium or
Pharmacologic glands. hypertension and left gain sodium unless directed by
Class: ventricular hypertrophy. GI: Diarrhea, abdominal pain, health care professional.
Angiotensin II dyspepsia, nausea  Caution patient to avoid
receptor GU: Impaired renal function sudden changes in position to
antagonists F and E: hyperkalemia decrease orthostatic
MS: Back pain, myalgia hypotension.
Drug Dosage:  Instruct patient to notify
1 Tab OD health care professional if
swelling of face, eyes, lips, or
Doctors Order tongue or if difficulty
Date: swallowing or breathing
occur.
January 21, 2020
 Encourage patient to comply
with additional intervention
for hypertension (weight
reduction, low sodium diet,
discontinuation of smoking,
moderation of alcohol
consumption, regular
exercise, stress management).
 Instruct patient and family or
proper technique for
monitoring BP